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Case Reports: Rare disease
Challenges in diagnosis, treatment and coordination of care of menstrual psychosis
  1. Aaron Gilmore,
  2. Tyler John Cottrell and
  3. Sharon E Chen
  1. Psychiatry Department, Loma Linda University, Redlands, California, USA
  1. Correspondence to Dr Aaron Gilmore; aagilmore{at}llu.edu

Abstract

We present a suspected case of menstrual psychosis in an adolescent to highlight the unique attributes of this rare condition. An early adolescent female began displaying episodes of aggression, irritability, insomnia, hallucinations and disorganisation at menarche. Subsequent episodes resulted in multiple inpatient psychiatric hospital admissions coinciding with her menstrual cycle. Management from both psychiatry and gynaecology of her episodes, and abnormal hormone levels, was challenging. This report emphasises the importance of coordination between specialties, navigating diagnostic challenges and weighing the risk versus benefit of long-term neuroleptic use.

  • Child and adolescent psychiatry
  • Bipolar I disorder
  • Psychotic disorders (incl schizophrenia)

https://doi.org/10.1136/bcr-2022-251555

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    Footnotes

    • Contributors AG—primary physician, diagnosis, treatment management, conception, article revisions and final approval of manuscript submitted. TJC—drafted article, article revisions and obtaining parent/patient consent. SEC—resident physician involved in diagnosis and management, conception, drafted article and article revisions.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.